Chronic disease management in heart failure: focus on telemedicine and remote monitoring

Rev Cardiovasc Med. 2021 Jun 30;22(2):403-413. doi: 10.31083/j.rcm2202046.

Abstract

In the context of the COVID-19 pandemic, many barriers to telemedicine disappeared. Virtual visits and telemonitoring strategies became routine. Evidence is accumulating regarding the safety and efficacy of virtual visits to replace in-person visits. A structured approach to virtual encounters is recommended. Telemonitoring includes patient reported remote vital sign monitoring, information from wearable devices, cardiac implantable electronic devices and invasive remote hemodynamic monitoring. The intensity of the monitoring should match the risk profile of the patient. Attention to cultural and educational barriers is important to prevent disparities in telehealth implementation.

Keywords: COVID-19; Heart failure with reduced ejection fraction; Telemedicine; Telemonitoring.

Publication types

  • Review

MeSH terms

  • COVID-19*
  • Chronic Disease
  • Healthcare Disparities
  • Heart Failure / diagnosis
  • Heart Failure / physiopathology
  • Heart Failure / therapy*
  • Humans
  • Predictive Value of Tests
  • Prognosis
  • Race Factors
  • Remote Consultation / instrumentation
  • Remote Sensing Technology / instrumentation
  • Socioeconomic Factors
  • Telemedicine* / instrumentation
  • Wearable Electronic Devices